Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.75 / $74.75 / $175.26	Facility	26	$74.75	$74.75	$175.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.68 / $408.66 / $1,182.11	Professional		$227.68	$408.66	$1,182.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.75 / $102.70 / $325.64	Professional	26	$74.75	$102.70	$325.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $208.59 / $385.01	Professional		$60.66	$208.59	$385.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $523.22 / $724.26	Professional		$292.58	$523.22	$724.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.01 / $115.46 / $164.46	Professional	26	$74.01	$115.46	$164.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.72 / $315.04	Professional		$32.34	$104.72	$315.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $570.11 / $822.29	Professional		$351.96	$570.11	$822.29
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $76.94 / $115.46 / $153.88	Professional	26	$76.94	$115.46	$153.88
United Facility/Professional Professional Modifier Low / Median / High Price $283.45 / $425.60 / $803.89	Professional		$283.45	$425.60	$803.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $79.41 / $199.84	Professional	26	$74.09	$79.41	$199.84